Greenport Pt Pc

Specialty details in registry · Brooklyn, NY

Call (347) 705-0393 Directions

At a glance

631 Foster Ave Lowr Level, Brooklyn, NY 11230-1304

NPPES record updated Aug 11, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

631 Foster Ave Lowr Level
Brooklyn, NY 11230-1304

Professional details: NPI, taxonomy & registry record

NPI1124943857

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QP2000X
Enumeration date: Aug 11, 2026
Record updated: Aug 11, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QP2000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

631 Foster Ave Lowr Level
Brooklyn, NY 11230-1304

Phone: (347) 705-0393

Mailing address

35 GREENPORT ST

STATEN ISLAND, NY 103043011

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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